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Home Truths About
Child Sexual Abuse
Home Truths About Child Sexual Abuse brings together the findings of research
and clinical work by leading figures in the UK and USA. It makes visible the
prevalence of sexual abuse and exploitation of children by normal, ordinary,
heterosexual family men, both within and outside the family. Comprehensive
and multidisciplinary in approach, it covers the many different aspects of child
sexual abuse including:
• phenomenology
(cid:127) definitions and terminology
(cid:127) epidemiology
(cid:127) explanatory frameworks
(cid:127) concepts and theory
(cid:127) the contribution of radical feminism
(cid:127) constructs, classifications and typologies
(cid:127) policy
(cid:127) treatments
(cid:127) multi-disciplinary and multi-agency work
(cid:127) medical evidence
(cid:127) gender and epistemology
(cid:127) criminal justice issues.
Home Truths About Child Sexual Abuse provides the evidence and knowledge
base necessary to begin to achieve effective prevention. It offers professionals,
researchers and policy makers an invaluable source of reference and an informed
basis for action.
Catherine Itzinis Research Professor in Social Work and Social Policy and Co-
Director of the International Centre for the Study of Violence and Abuse,
University of Sunderland.
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Home Truths About
Child Sexual Abuse
Influencing policy and practice
A reader
Edited by Catherine Itzin
London and New York
First published 2000
by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
29 West 35th Street, New York, NY 10001
Routledge is an imprint of the Taylor & Francis Group
This edition published in the Taylor and Francis e-Library, 2005.
“To purchase your own copy of this or any of Taylor & Francis or Routledge’s
collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.”
© 2000 Selection and editorial matter, Catherine Itzin; individual
chapters, the contributors
All rights reserved. No part of this book may be reprinted or reproduced
or utilised in any form or by any electronic, mechanical, or other means,
now known or hereafter invented, including photocopying and
recording, or in any information storage or retrieval system, without per-
mission in writing from the publishers.
British Library Cataloguing in Publication Data
A catalogue record for this book is available
from the British Library.
Library of Congress Cataloging in Publication Data
Itzin, Catherine, 1944–
Home truths about sexual abuse: influencing policy and practice – a
reader / edited by Catherine Itzin
480 p 15.6 x 23.4 cm
Includes biographical references and index
1. Child sexual abuse – Great Britain. 2. Child sexual abuse – United
States. 3. Sexually abused children – rehabilitation. 4. Sexually
abused teenagers – Rehabilitation. I.Title
HV 6570.4.G7 179 2000
362.76–dc21 00-025469
ISBN 0-203-99242-3 Master e-book ISBN
ISBN 0–415–15261–5 hbk
0–415–15262–3 pbk
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For these many children
From JA with thanks
A gift
For my beloved husband
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Contents
List of figures x
List of tables xi
List of contributors xii
Acknowledgements xv
Copyright acknowledgements xvi
Introduction xviii
1 Child sexual abuse and the radical feminist endeavour:
an overview 1
CATHERINE ITZIN
PART 1
Child sexual abuse and exploitation 25
Part1.1
Adolescent and adult male child rapists
by many other names 25
2 What happened when women said ‘incest’ 27
LOUISE ARMSTRONG
3 Paedophile characteristics and patterns of behaviour:
developing and using a typology 49
RAY WYRE
4 Sexual exploitation: a new discovery or one part of the
continuum of sexual abuse in childhood? 70
LIZ KELLY, LINDA REGAN AND SHEILA BURTON
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viii Contents
5 Incest, ‘paedophilia’, pornography and prostitution:
conceptualising the connections 87
CATHERINE ITZIN
Part1.2
The victim experience of child sexual abuse and
its effects 101
6 Paternal incest: an autobiographical account 103
‘RACHEL PEARCE’ INTERVIEWED BY CATHERINE ITZIN
7 The experience and the effects of child sexual abuse
involving pornography 123
‘ALICE EDWARDS’ INTERVIEWED BY CATHERINE ITZIN
8 Once I was a child and there was much pain: a glimpse
into the soul of an incest survivor 141
‘NANCY E’
9 The newly recognised shattering effects of child abuse 163
ALICE MILLER
Part1.3
The nature and extent of child sexual abuse 167
10 Child sexual abuse prevalence: a review and re-analysis of
relevant studies 169
REBECCA M. BOLEN, DIANA E. H. RUSSELL
AND MARIA SCANNAPIECO
Part1.4
Contributing and causal factors 197
11 Sadistic, sexual and violent acts in the young: contributing
and causal factors 199
SUSAN BAILEY
12 Risk factors for development of sexually abusive behaviour
in sexually victimized adolescent boys: cross sectional study 222
DAVID SKUSE, ARNON BENTOVIM, JILL HODGES, JIM STEVENSON
CHRISO ANDREOU, MONICA LANYADO, MICHELLE NEW,
BRYN WILLIAMS AND DEAN MCMILLAN.
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Contents ix
PART 2
Interventions 233
Part2.1
The ‘treatment’ of victims and abusers 233
13 Child sexual abuse and the continuum of victim disclosure:
professionals working with children in Cleveland in 1987 235
HEATHER BACON AND SUE RICHARDSON
14 Helping girls involved in ‘prostitution’: a Barnardos’
experiment 277
SARA SWANN
15 Treating adolescents who sexually abuse others 290
BOBBIE PRINT AND TONY MORRISON
16 Patterns of sex offending and strategies for effective
assessment and intervention 313
HILARY ELDRIDGE
17 The uses of therapy: understanding and treating the
effects of childhood abuse and neglect 335
JOAN WOODWARD
Part2.2
Child protection policy 351
18 Gender and the child protection process 353
ELAINE FARMER AND MORAG OWEN
19 The medical diagnosis of child sexual abuse in Cleveland
in 1987: the paediatrician’s dilemma 372
GEOFFREY WYATT AND MARIETTA HIGGS
20 Confronting sexual abuse: challenges for the future 387
SARAH NELSON
PART3
Conclusion 403
21 Child protection and child sexual abuse prevention:
influencing policy and practice 405
CATHERINE ITZIN
Index 449
